Analysis Of Health And Social Care In The Uk The WritePass Journal

Analysis Of Health And Social Care In The Uk ABSTRACT Analysis Of Health And Social Care In The Uk ). Limited nursing care may be provided by a District Nurse when needed. Nursing care is usually provided in care homes especially for the more infirm elderly as such individuals are often in need of medical attention and a greater level of care (Lovell Cordeaux 1999). Domiciliary care aims at providing help with a specific task such as bathing or waking up in the morning. Traditionally, family members, friends and partners have provided domiciliary care. There is however a growing number of voluntary and statutory agencies providing domiciliary care services in the UK. Care UK is one such provider which has been approved to provide domiciliary care services to 55 local authorities in the UK (Francis 2012). Care UK provides domiciliary care to many service users including older people with dementia, children, individuals who are physically disabled and those with sensory impairments as well as serving adults with specialist needs such as mental illness, learning difficulties, HIV and acquired brain injury (Francis 2012). RESPITE CARE This can be defined as a temporary relief provided for an elderly or the carer and may take the following forms (Lovell Cordeaux 1999): Taking a break away from the daily routine by the elderly such as a going on a holiday. A short stay in a care home so that the carer can go on a holiday Increased support at home to enable the carer to pursue his/her interests Respite care may be as little as a day, a week or even an hour per week depending on the circumstances of the individual. Under the Carers Recognition and Services Act 1995, a carer who provides substantial care to his/her relative, friend, neighbour or partner is entitled to his/her own separate assessment by social services (Lovell Cordeaux 1999). If assessed as in need of respite care, then this can be arranged by them. FOSTER CARE This refers to the care provided to a minor who has been made a ward (Curry Ham 2010). The minor is placed in the hands of a licensed or state certified caregiver who is often referred to as the foster parent. Foster care placement may be voluntary or involuntary. Where the biological parent is not able to provide the needed care to the minor, then voluntary placement may occur. However, where the minor is at risk of physical or psychological harm, then involuntary placement occurs (Curry Ham 2010). There are many agencies providing fostering services in the UK. FosterCare UK is one independent non-profit organization established in 2007 to provide foster care services to minors in London and South East (Porter Teisberg 2006). FosterCare UK recruits, trains, approves and supports foster carers to work with young people with complex and challenging needs (Porter Teisberg 2006). COMMUNITY CARE Care may as well be provided at community venues such as drop-in and day care centres. A good example is the Community Integrated Care (CIC) group, one of the leading nonprofit social and health care providers in the UK (Porter Teisberg 2006). CIC is a national and registered charity that works in the community by providing support to people with a diverse range of needs across England and Scotland (Porter Teisberg 2006). The group provides support to people with learning difficulties, physical disabilities and mental health conditions. It also provides a range of support services to older people with dementia. Further, CIC provides homelessness services such as housing, personal development and training and education to homeless people (Porter Teisberg 2006). While there are a number of agencies, both statutory and voluntary, offering social care services to vulnerable individuals, challenges still remain in the provision of such services. Health inequality is one major challenge which has continued to undermine the effective provision of services in the health care. INEQUALITIES IN HEALTH In the UK, the black and minority ethnic (BME) groups have in general reported ill-health and their dissatisfaction with the care services. A large proportion of the UK population constitutes the white. According to the 2001 census, the white accounted for 92% of the total population while the Black British and Asians accounted for 2% and 4% respectively (DOH 2006). Ethnic differences in the delivery and uptake of health care services have been reported. For example, access to care for coronary heart disease has been found to be lower among the South Asians (DOH 2006). With reference to prevention, the rates of smoking cessation have been found to be lower in these minority groups compared to the whites (DOH 2006). Additionally, most of these minority groups have indicated higher rates of dissatisfaction with the services provided by the NHS. For example, according to the Healthcare Commission patient surveys, most of the South Asians reported poorer experiences in hospitals as inpatients (DOH 2006). Many of these minority groups experience higher rates of poverty than the whites, in terms of area deprivation, worklessness, income, and the lack of basic necessities. This perhaps explains the variation in self-reported health. However, other than their socio-economic status, there is a complex interplay of factors that may be responsible for causing such inequalities including discrimination, racism, poor delivery of health care services, biological susceptibility and the differences in culture and lifestyles (DOH 2006). PROGRESS AND INITIATIVES TOWARDS REDUCING INEQUALITY IN HEALTH CARE Policy developments have tried to tackle inequalities in health. Achesons Independent Inquiry of 1998 was a key initiative that put health inequalities on the policy agenda (Stuart 2003). It emphasized on how poverty, the wider inequalities and exclusion were impacting on the provision of health care services. Subsequent policies have also recognized inequalities in health as multi-faceted and focused on reducing these inequalities. The central focus of health inequalities policies have primarily been on health care and NHS funding (Baldock, et.al., 2007). Besides the socioeconomic inequalities, policies have also focused explicitly on equity between the various ethnic groups. Identifying good practice in racial equality and mainstreaming strategies in health services has been the main approach to tackling inequalities (Baldock, et.al., 2007). A number initiatives have been commissioned by the Department of Health to collate good practice in equality in health such as Race for Health, Pacesetters and handling problems like language barriers and barrier to access of health care resources (Stuart 2003). More recently, major reforms have been made to the NHS. The role that Primary Care Trust plays in health care has expanded and changes have been made to practice based commissioning, competition, and involvement of patient as well as plurality of providers (Lewis, et.al 2010). These reforms are seen as making it easier tailor health care services to local populations thus meeting the needs of everyone, including the minority groups. The Department of Health has also initiated the Mosaic programme, which aims at developing and maintaining good practice in procurement, based on the Commission for Racial Equality guidelines (DOH 2006). Concerns have however been raised by critics that the initiative may not be of benefit to the minority and deprived groups and they have called for an examination of the impact that these reforms may have on equalities. While there has been a remarkable progress towards reducing inequalities in the health care sector in UK, there is still the need to develop more policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. This includes advocating for the promotion of individual rights within the care sector. PROMOTION OF EQUALITY AND INDIVIDUAL RIGHTS In this regard, individual rights include, but are not limited to (Adams 2007): The right to respect Not to be discriminated against Right to practice their cultural and religious beliefs Making their own choices Right to equality or to be treated in a similar manner as the rest of the population Treated as an individual Right to be treated in a dignified way Right to privacy or confidentiality Protection from harm and danger Right to have access to information, especially where that information concerns them Communication using their preferred methods. There is thus the need for recognition of the immense diversity amongst individuals in the British society and how care agencies, both voluntary and statutory, can accommodate this diversity. This promotion of equality and individual rights is crucial for effective provision of care services. That is, social workers need to treat everyone as an individual, have respect for individuals diversity and cultural values, promote equal treatment and opportunities for individuals, empower individuals, support them express their needs and experiences, ensure their well-being, work in ways consistent with the individuals preferences and beliefs, avoid their discrimination and put the individuals preference at the heart of service provisions   through person centred planning approach (Adams 2007).   CONCLUSION Social care services are provided to vulnerable individuals to protect them from harm, promote their independence and social inclusion, preserve or advance their physical and mental health, improve their opportunities and life chances, strengthen their families and protect and promote their individual human rights. In spite of the importance of provision of social care services, it is apparent that the current system in the UK is perceived unfair in the provision of health care services. There seems to be huge disparities in health care service provisions in parts of the UK with the spearheaded areas experiencing worst health care and deprivation. A remarkable progress has however been made towards reducing inequalities in the health A number initiatives have been commissioned by the Department of Health to collate good practice in equality in health such as Race for Health, Pacesetters and major reforms made to the NHS. These are seen as making it easier to tailor health care services to local populations thus meeting the needs of everyone, including the minority groups. While there has been a remarkable progress made, there is still the need to develop more policies and interventions that support all sections of the society and direct care, treatment and services in proportion to need. Social workers can play an important role in reducing health inequalities by working with service users in increasing their social and material resources and providing them access to information and support systems as well as maximizing their capacity to managing their health. REFERENCE Adams, R., 2007. Foundations of health and social care. Palgrave publishers Alcock, P., et.al., 2006. Students companion to social policy. Blackwell publishers Baldock et al (eds), 2007. Social Policy, Oxford University Press. Bradshaw, et.al., 1978. Issues in social policy. Routledge. Curry N. and C. Ham, 2010. Clinical and Service Integration: The route to improved outcomes. London: The King’s Fund. Available at: www.kingsfund.org.uk/publications/clinical_and_service.html (accessed on 16 February 2012). Department of Health (DOH), 2006. Our Health, Our Care, Our Say: A New Direction for Community Services. London: DOH Department of Health, 1998. Modernising social services. Crown publishers. Hill, M., 2006. Social policy in the modern world. Blackwell publishers Ellison, N. and C. Pierson, 2003. Developments in British Social Policy. Palgrave publishers Francis, J., 2012. An overview of the UK domiciliary care sector. Sutton. United Kingdom Home Care Association Ltd. Jordan, B., 2008. Social policy for the 21st century (New Perspective). Polity Press. Lewis R, et.al., 2010. Where Next for Integrated Care Organisations in the NHS? London: Nuffield Trust. Lovell, T and C. Cordeaux, 1999. Social Policy for Health and Social Care. Hodder and Stoughton. Mason, et.al, 2004.   BTEC Introduction Health and Social Care. Heinemann. Platt, L, 2002. Parallel lives? Poverty among ethnic minority groups in Britain, London. Porter, M. and E. Teisberg, 2006. Redefining Health Care: Creating Value- Based Competition On Results. Harvard Business School Press. Stuart, et.al, 2003. Tackling Health Inequalities since the Acheson Inquiry, Bristol

Warriors Dont Cry Essays - School Segregation In The United States

Warriors Don't Cry Essays - School Segregation In The United States Warriors Don't Cry In the book Warriors Don't Cry by Melba Pattillo Beals, the author describes what her reactions and feelings are to the racial hatred and discrimination she and eight other African-American teenagers received in Little Rock, Arkansas during the desegregation period in 1957. She tells the story of the nine students from the time she turned sixteen years old and began keeping a diary until her final days at Central High School in Little Rock. The story begins by Melba talking about the anger, hatred, and sadness that is brought up upon her first return to Central High for a reunion with her eight other classmates. As she walks through the halls and rooms of the old school, she recalls the horrible acts of violence that were committed by the white students against her and her friends. In 1954, the Supreme Court ruled in the case of Brown vs. The Board of Education that schools needed to integrate and provide equal education for all people and it was unconstitutional for the state to deny certain citizens this opportunity. Although this decision was a landmark case and meant the schools could no longer deny admission to a child based solely on the color of their skin. By 1957, most schools had began to slowly integrate their students, but those in the deep south were still trying to fight the decision. One of the most widely known instances of this happening was at Central High School in Little Rock, Arkansas. It took the school district three years to work out an integration plan. The board members and faculty didn't like the fact that they were going to have to teach a group of students that were looked down upon and seen as inferior to white students. However, after much opposition, a plan was finally proposed. The plan called for the integration to happen in th ree phases. First, during the 1957-1958 school year, the senior high school would be integrated, then after completion at the senior high level, the junior high would be integrated, and the elementary levels would follow in due time. Seventeen students were chosen from hundreds of applicants to be the first black teenagers to begin the integration process. The town went into an uproar. Many acts of violence were committed toward the African-Americans in the city. Racism and segregation seemed to be on the rise. Most black students decided to stay at Horace Mann, the black high school that was underfunded and didn't boast a very high graduation rate, let alone much of a college acceptance percentage. Some out of fear and others just accepted the harsh and unfair circumstances. The state and town passed laws and ordinances as the school year drew near in order to keep the school from integrating. Even the state governor refused for the desegregation process to happen without resistance. Some blacks also opposed the desegregation for fear of future repercussions. The nine brave students, however, refused to be stopped. On September 3, Elizabeth Eckford, Ernest Green, Jefferson Thomas, Minnijean Brown (Trickey), Carlotta Walls (LaNier), Terrence Roberts, Gloria Ray (Karlmark), Thelma Mothershed-Wair, and Melba Patillo Beals set off for school. The governor of Arkansas, Orvel Faubus, had sent National Guardsmen to the school the previous day to surround the building and keep all African-Americans from entering its doors. He stated in an interview that the reason for the troops was he heard a rumor that white supremacists were going to riot and he was just protecting the students. He declared Central High off-limits to all people of color in order for their own protection. The students never did make it into school that day. Before they even reached the property they were met with great resistance from racist citizens who spat upon them, mocked them, threw sharp objects at them, and even physically beat them. Melba describes the deep hurt she felt as for the first time in her life she saw the harsh re ality of racism at its worst. The next day the students met with Daisy Bates, the head of the regional NAACP, and decided to all walk in together. The problem was, Ms. Bates had tried to call all of the students but one

The early and modern views of human variation Essay

The early and modern views of human variation - Essay Example The primordial view on human variations explains that races emanate from past anthropological connections. Cavalli-Sforza (pp.54) argues that in the past, color was the only form of distinction that humans understood. For instance, the Egyptians are a notable group of people who distinguished humans on the basis of their color. According to them, all the people who came from the east were yellow, whites from the north and blacks from the south. Other analysts from the past argue that, races emanated from climatic changes that affected the skin color of many individuals. With the changes in climate, human beings began evolving into different races, in regards to the characteristics in their respective milieu. On the other hand, modern analysts argue that human characteristics can be discussed through a study of biological characteristics of the individuals. The innate characteristics of individuals cannot be alienated from the biological make up of these individuals. There is a great likelihood that race is linked with color, that is biologically oriented. On a social view, race has been indicated to be biologically real (Stringer, pp.566). It is through race therefore, that societies have been categorized into various groups. In as much, that primeval analysts argue that race is not real, modern analysts believe that racism is inborn just like intelligence. As time progressed, the views of anthropological researchers changed a great mile. With time, taxonomies were discovered which explained the human varieties through biological determinism. Stringer (pp.570) argues that the clinical model is the best approach towards understanding of race. This model describes the genetically inherited attributes in individuals. This model discusses the factual nature of variations in biological characteristics, inclusive of color variations. Essentially, modern analysts argue that human variations are resultant from

Critical review of a social policy journal (article is available on Essay

Critical review of a social policy journal (article is available on sagepub) - Essay Example Janet attained all these academic qualifications in the University of Essex (The Open University, 2012). The article explains visual research, a form of research that uses photography to study a certain community. The article explains how photography can help in the collection of visual data, which helps in studying the aspects of a given community. The article is a guide on how visual data can help policy makers in obtaining information about the resources and the values that the community values. Janet’s article explains how the data collected using photographs to explain the differences among various communities in the contemporary England. In any society, there are clear issues that affect different communities that interact. There is that group of the society that does not enjoy benefits that other groups enjoy. For example, in Britain some communities are disadvantaged and marginalized in all aspects of life. A study of the experiences of community members and the areas that the communities views as problematic shows the actual gap between different communities in Britain. Visual research using photographs reveals the areas that account for the practices and problems that face the community. In addition, the research also shows the areas that the community members deem as good. ... Visual research is probably the best approach for decision-making about the welfare of a certain disadvantaged community. Critique of the article The article raises a number of issues concerning understanding the society. For instance, many marginalized communities face the problem of vandalism and destruction of property. This is due to the crash of ideas between different members of the society. Therefore, the communities are responsible for their problems in many instances. For instance, young people wanted the field for their own personal issues while other members of the community concerned themselves with protecting the field. The community divided itself along age and gender basis, but it is clear that the community has strong moral and social standards. The article brings to light how photography reveals some aspects that other people assume to be normal. For instance, the photographs on infrastructure indicate the local council's negligence in maintaining infrastructural fac ilities. Understanding the problems of disadvantaged members of the society needs complete masterly of all factors within their environment. Most of these factors, however, appear normal to many individuals, which hinders policy makers from making sense as well as interpreting the factors. The article stresses on the importance of visual data in analysing such information that may appear as irrelevant in the given communities (Fink, 2011). I agree with certain propositions of the article. The article stresses on the contributions of photography in studying various practices and experiences that influence the actions of marginalized communities. Visual research identifies aspects that affect the community and that appear normal in the eyes of many individuals. Policy makers need

What the Writer Thought of the Event Essay Example for Free

What the Writer Thought of the Event Essay What the event symbolized for America was explicitly stated in the editorial — Woodstock was the kind of success that could be achieved when there is benevolence among people. Everyone saw a disaster out of Woodstock in the beginning. People predicted it would end out a havoc. Even hip radio stations warned people against it. It was easy for the Americans to think that such a large gathering of people in such a place would end up to no good, especially when it’s the youth that is involved. However, as the event turned out to be a success, America realized that it is not impossible for people to come together and be in a state of harmony at the same time. More importantly, Woodstock became a realization for America that the power of benevolence could do such amazing things, and could rise above such adversities as shortage in water, toilets, bad trips, and even thunderstorms. Aside from these, Woodstock symbolized for the rest of America that their youth is not going down the drain. Instead, their youth is worthy of respect and emulation, because amidst the prejudice against their capabilities and their culture, is their power to rise above the adversity and to display such a culture of good will among perfect strangers. For the parents of America at that time, Woodstock was a â€Å"wakeup call’ that their children did something worthy of their approval , and that this is what is important amidst the drugs and the display of nudity. The bottomline is that Woodstock, for America, had become as symbol of both the power of the youth and the power of benevolence, and the beauty that comes when these two powers work together. For the writer, not only was Woodstock Music and Art Fair an â€Å"Aquarian Exposition of music and peace . It was much more. It ranked among one of the most important sociological and political events of the decade. Not only was it the largest happening that ever was in history at the time, it was also a public announcement of the culture of America’s youth in the sixties. It was a manifestation of their â€Å"strength, appeal, and power† (TIME, 1969). Along the article, the writer pointed out how massive the gathering was, even estimating that had the roads not been blocked, there would have been a million people between the age of 16-30 at Woodstock. And though the writer acknowledged the presence of the largest gathering of rock idols as a bait for the crowd to come, he pointed out a more analytical reason for the gathering. According to him, Woodstock was a kind of â€Å"pilgrimage† where the youths sought to discover that there were hundreds of thousand of people who shared their culture, in other words, that they are not isolated, as they have previously thought they were (TIME, 1969). The writer was also quick to acknowledge the fact that the old generation of Americans initially saw the event as a â€Å"squalid freakout,† but had experienced a change of tune, which included even the New York Times . Along with this, however, the writer ran a paragraph that told about both the â€Å"deplorable† and commendable things about the event that could be the reason for such a two-sided perception of the event. The bad side of Woodstock that the writer perceived included deaths and illnesses from drugs, as well as the deplorable case of sanitation, accommodation, garbage, and rains throughout the event. However, the writer exalted in the fact that â€Å"there were no rapes, no assaults, no robberies and, as far as anyone can recall, not one single fight† (TIME, 1969). In the length of the rest of the article, the writer presented several analysis of the meaning of Woodstock. Among these was that Woodstock was a manifestation of the youth’s valuation of self over society, and aside from the youth’s total separation from the norms of the past generation, was also a manifestation that the adults could not control them anymore. However, along with these was the youth’s perception that they are changing the society for the good and that they did not need someone to lead them since they already have each other . In the end, the writer was able to send a message of questioning to his readers. A question of â€Å"to what purpose† could the outpouring and extremely powerful emotions of the youth could be harnessed politically. His advice was made implicitly by quoting what a sociologist had to say about the event . Towards the end, the writer’s advice turned out into a warning about the possible negative impacts of the event, instead of a dawning of enlightenment .

symbolaw Symbols and Symbolism - Clothing as a Symbol in The Awakening

Use of Clothing as a Symbol in The Awakening    In the novel, The Awakening, Kate Chopin takes Edna Pontellier on a journey of self-discovery. In doing this, she uses many symbols to show the relationship between Edna and the world. Clothing, or rather, the lack thereof, displays this relationship well. As Edna progresses throughout the novel, she discards more and more layers of the confining à ¬clothingà ® that surrounds her body and soul. By taking off her clothing, one piece at a time, she disobeys the rules that society has set for her, and in doing this, she exerts her independence. In this summer voyage, Edna becomes a free woman.    In the Victorian society that Edna lives in, the proper attire for women requires them to wear very confining clothing. This clothing symbolizes the constraints on the social behavior of women in this age. It restricts Edna's body and impedes her freedom to move. At the beginning of the novel, fully dressed Edna wears all the proper clothing. However, when Edna and Adele walk together to the beach, Edna wears considerably less clothing than that of her companion. Adele wears a veil, gloves, and ruffles to protect her body. Edna wears a thinner, simple dress and removes her collar and unbuttons her dress at the throat once at the beach. She chooses not to cover herself as harshly as Adele. Adele portrays the picture of a perfect Victorian woman through her manner of dress. Edna's decision to free herself more than Adele symbolizes her growing rejection of Victorian society rules.    Edna becomes distraught when she discovers her friend, Robert, is leaving. She goes home and sheds her clothes for a more comfortable wrap. She casts off more layers of conventio... ...bsp; As a final profession of her freedom, Edna discards her last layer of clothing until she stands naked on the beach. She swims out into the ocean and drowns there. Her final act of independence required her to end her life. She shed the final constriction on her life when she stripped herself alone on the beach. She frees herself from social conventionalism and at last opens herself up to do something totally for her own reasons and rules.    Throughout the novel, as Edna sheds herself of the clothing and possessions that surround her, she becomes more liberated, free, her own woman. The clothing represents the society that confines her and the independence that stripping the clothing gives her enlightens her soul. Kate Chopin uses clothing as a way of conveying the social injustice imposed upon women in the Victorian age in which they were trapped.

Critical Perspectives on Accounting Essay

In this article Marcus Milne provides critical overview and analysis of literature devoted to establishing evidence for positive accounting theory in regards of corporate social disclosure. The central argument of the paper is that positive accounting theorists are trying to colonize social and environmental accounting research. The present article is empirical research and the author employs qualitative and quantitative data to support the claim that positive accounting theory of social disclosure has failed in its endeavor. The author’s purpose is to challenge the perceptions of positive accounting theory and to illustrate why efforts of theorists to social and environmental accounting has failed. The author focuses on the original work of Watts and Zimmerman and tends to present their concern and ideas with the lobbying behavior observed in US oil companies. The companies were claimed to be monopolists and self-interested politicians that had pursued mainly wealth transfers in the form of taxes and other political costs. For them, social responsibility is passing remark. The article is useful to my research topic as Milne suggests that modern businesses and companies should be more concerned with social and environmental responsibility as our world’s resources are not unlimited. The main limitation of the article is that only one original work is incorporated – the article presents one viewpoint without presenting multiple views on the problem. The author indicates that literature on positive accounting theory has failed to provide arguments for self-interested managers’ wealth maximizes. The article will be useful supplementary information for my research on social and environmental responsibility.